50 year female with fever, vomiting, Nausea

Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 50 year female resident of kodichedu came with CHIEF COMPLAINTS : - Fever since 10 days - Vomitings since 4-5 days - Nausea from 3-4 days HISTORY OF PRESENT ILLNESS : - Patient was asymptomatic 10 days ago and developed fever which is high grade, continuous , associated with chills and rigors. - She went to local hospital and was kept on sy...